Individual
JENNIFER UPDIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
908 BROAD ST, FLORENCE, NJ 08518-2812
(609) 499-3985
Mailing address
908 BROAD ST, FLORENCE, NJ 08518-2812
(609) 499-3985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00103100
NJ
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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